Situational Judgement

Question 1

What does ‘A very appropriate thing to do’ mean?

Answer 1

-action helps to resolve part or all of problem
-in a suitable way

Question 2

What does ‘Appropriate, but not ideal’ mean?

Answer 2

-can be done but is not necessarily the most appropriate response

Question 3

What does ‘Inappropriate but not Awful’ mean?

Answer 3

-shouldn’t really be done but wouldn’t be terrible thing to be done

-because consequences are minor

Question 4

What does ‘A very inappropriate thing to do’ mean?

Answer 4

-shouldn’t be done and would make things worse

-unethical behavior that would place patients or people at risk

Question 5

What does ‘very important’ mean?

Answer 5

simply cannot be dismissed

Question 6

What does ‘important’ mean?

Answer 6

-it is not vital but may make a difference

Question 7

What does ‘of minor importance’ mean?

Answer 7

-mildly relevant
-won’t hurt if you forget to take it into account

Question 8

What does ‘not important at all’ mean?

Answer 8

either irrelevant or makes you think Who cares?

Question 9

Lack of integrity would be ranked as what?

Answer 9

Very Inappropriate, would not be forgiven, nothing a person could say or do will ever make it acceptable

-will always be considered ‘not important at all’

Question 10

Examples of Lack of Integrity:

Answer 10

-lying to anyone if the intention is to mislead- exception: white lies
-Cheating of any kind

-covering mistakes or problems even if by fear

-stealing, doing anything criminal

-not recognizing your limitations and pretending you know something when you don’t

-breaching confidentiality,
-discussing internal issues in a public forum

-having relationships with patients

Question 11

What does it mean by lying to someone if the intention is to mislead?

Answer 11

-lying to anyone if the intention is to mislead- exception: white lies, e.g. things that would stop patient feeling anxious (Appropriate, but not ideal)

Question 12

What does it mean by covering mistakes by fear?

Answer 12

-covering mistakes or problems even if by fear- should challenge other collogues if their behavior is inappropriate

Question 13

What does it mean by recognizing your limitations?

Answer 13

-not recognizing your limitations and pretending you know something when you don’t — having a ‘go’ at something when you have no expertise, when a patient asks you to explain something you are unsure of or collegue asks you to perform a procedure that you are not qualified to undertake, applies whther you are under pressure or not, simply no excuse

Question 14

What does it mean by breaching confidentiality?

Answer 14

-breaching confidentiality, looking up patient records when they are non of your concern, sharing info about patients with others even if accidental e.g. leaving patient records somewhere, even if patient is unidentifiable

Question 15

What do we mean by teamwork?

Answer 15

-supporting collogues appropriately
-do not impose burdens on them
-involve them in relevant matters + discussions
-show you respect them

Question 16

What does it mean by discussing internal issues on a public forum?

Answer 16

-discussing internal issues in a public forum e.g. undermining health care provided on bus, social media etc., could undermine public confidence in care provided there

Question 17

Examples of bad Team work:

Answer 17

-undermining a colleague in front of a patient (very inappropriate)

-reporting colleagues to their supervisors without addressing the issue with the colleague first

-ignoring complaints from colleagues about your behavior

-pulling out of prearranged meetings without appropriate communication )

-dumping your problems onto other people

-rudeness, even if provoked (inappropriate but not awful)

Question 18

What do we mean by reporting colleagues to their supervisors?

Answer 18

-reporting colleagues to their supervisors without addressing the issue with the colleague first for simple issues with benign consequences, ( inappropriate but not awful) , however it is appropriate to seek advice from someone you trust before discussing the matter directly with the colleague in question

Question 19

What do we mean by ignoring complaints from colleagues about our behaviour?

Answer 19

-ignoring complaints from colleagues about your behavior (usually very inappropriate- you may not change your behaviour after reflection but you would at least need to acknowledge the issue and look into it )

Question 20

What do we mean by dumping your problems onto other people?

Answer 20

-dumping your problems onto other people, such as asking another colleague to take on a more menial or boring task, just because you have more interesting things to do (appropriate but not awful) generally, you must demonstrate you can take responsibility for your own problems

Question 21

What do we mean by pulling out of prearranged meetings?

Answer 21

-pulling out of prearranged meetings without appropriate communication (inappropriate but not awful- unless the prearranged meetings were about patient care or within mandatory attendance, in which case it would very inappropriate)

Question 22

Listening or reassuring a patient should always be ranked as what?

Answer 22

very appropriate or very important

Question 23

Give an example of a clinical emergency that would need prioritizing

Answer 23

A patient- not an emergency- sprained ankle might be able to wait

if something more pressing needs addressing

e.g. a lost child

its not ideal but its appropriate

Question 24

You should ensure ____________ communication with everyone

Answer 24

Timely

Question 25

What should you not do that might __ the patient

Answer 25

harm

Question 26

Example of patient harm in a clinical setting

Answer 26

Includes harm such as making them loose confidence in the health service or their doctor

Question 27

Answer according to what you _________ do not what you __________ do

Answer 27

Answer according to what you should do not what you would do

Question 28

A patient was given the wrong medication, What is STEP 1?

Answer 28

Clinical Solution

-making sure patient is fine by reversing effects of medication or just keeping an eye on them

Question 29

A patient was given the wrong medication, What is STEP 2?

Answer 29

Patient Communication

-be honest with the people about the mistake, apologise and explain what happened

Question 30

A patient was given the wrong medication, What is STEP 3?

Answer 30

Colleague communication

-making sure a senior doctor is alerted

Question 31

A patient was given the wrong medication, What is STEP 4?

Answer 31

Documentation

-document the mistake in the notes

Question 32

A patient was given the wrong medication, What is STEP 5?

Answer 32

Learn from the mistake

-raise it at a team meeting
-frequent mistakes= worth doing an audit to see frequency and change the way things are done in the department

Question 33

Alert a Senior Colleague

Answer 33

Very Appropriate

Question 34

Apologise to the patient and explain what happened and reassure everything is now in hand

Answer 34

Very Appropriate

Question 35

Discuss the mistake at a team meeting and organize an audit

Answer 35

Very Appropriate

Question 36

Explain what happened to the patient

Answer 36

Appropriate but not ideal

The fact that the apology does not feature in the statement essentially means it is not given